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Deficiency Records for Complete Care at Green Knoll

A list of the most recent deficiencies for Complete Care at Green Knoll. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Complete Care at Green Knoll. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Fire Safety 2024-09-26 2024-12-13 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2024-09-26 2024-11-18 N
Install an approved automatic sprinkler system. Fire Safety 2024-09-26 2024-10-23 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-09-26 2024-10-15 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-09-26 2024-10-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-09-26 2024-10-11 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-09-26 2024-10-11 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-09-26 2024-10-11 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-09-26 2024-10-11 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-09-26 2024-10-04 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-09-26 2024-10-04 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-09-26 2024-10-04 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-09-26 2024-10-04 N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-09-26 2024-10-04 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-09-26 2024-10-04 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-09-26 2024-10-04 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-04-24 2023-06-12 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-04-24 2023-06-12 Y
Ensure that residents are free from significant medication errors. Health 2023-04-24 2023-06-12 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-29 2022-11-17 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-09-29 2022-11-08 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-09-29 2022-11-07 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-09-29 2022-11-07 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-29 2022-11-07 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-09-29 2022-11-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-09-29 2022-11-07 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-09-29 2022-11-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-09-29 2022-11-07 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2020-02-13 2020-04-22 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2020-02-13 2020-04-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-02-13 2020-04-22 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-02-13 2020-04-22 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-02-13 2020-04-22 N
Ensure medication error rates are not 5 percent or greater. Health 2020-02-13 2020-04-22 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2020-02-13 2020-04-22 N
Provide and implement an infection prevention and control program. Health 2020-02-13 2020-04-22 N

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